Individual provider Active NPI

Linda C Wells, MA, CCC-SLP, CBIS

  • Speech-Language Pathologist
  • Mason, MI
National Provider Identifier
1851628093
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12017445(ASHA#)
Practice address
3181 Sandhill Rd
Mason, MI 48854-9425
Phone
(517) 336-6060
Fax
(517) 336-6050
NPI assigned
Nov 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 12017445(ASHA#) Primary

Addresses

Primary practice location

3181 Sandhill Rd
Mason, MI 48854-9425

Mailing address

3181 Sandhill Rd
Mason, MI 48854-9425
Phone (517) 336-6060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1851628093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SANDHILL RD",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488549425",
            "telephone_number": "517-336-6060",
            "fax_number": "517-336-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SANDHILL RD",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488549425",
            "telephone_number": "517-336-6060",
            "fax_number": "517-336-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "LINDA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP, CBIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-09",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "12017445(ASHA#)",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.